{"id":103514,"date":"2023-07-26T00:00:00","date_gmt":"2023-07-26T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/chi-so-tieu-duong\/"},"modified":"2025-09-06T21:58:31","modified_gmt":"2025-09-06T14:58:31","slug":"chi-so-tieu-duong","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/xet-nghiem\/chi-so-tieu-duong\/","title":{"rendered":"Ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng – L\u00e0m sao \u0111\u1ec3 duy tr\u00ec ch\u1ec9 s\u1ed1 \u1ed5n \u0111\u1ecbnh?"},"content":{"rendered":"

Ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng (ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft) l\u00e0 m\u1ed9t lo\u1ea1i ch\u1ec9 s\u1ed1 quan tr\u1ecdng trong quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Hi\u1ec7n nay c\u00f3 nhi\u1ec1u lo\u1ea1i ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u0169ng nh\u01b0 theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n. H\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/a><\/strong><\/strong> t\u00ecm hi\u1ec3u v\u1ec1 lo\u1ea1i ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 l\u00e0m c\u00e1ch n\u00e0o \u0111\u1ec3 x\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00fap duy tr\u00ec \u1ed5n \u0111\u1ecbnh ch\u1ec9 s\u1ed1 n\u00e0y nh\u00e9!<\/strong><\/p>\r\n\r\n\r\n\r\n\r\n\r\n

Ch\u1ec9 s\u1ed1 glucose bao nhi\u00eau th\u00ec b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng?<\/h2>\r\n\r\n\r\n\r\n

Ch\u1ec9 s\u1ed1 gluocose l\u00e0 th\u00f4ng s\u1ed1 quuan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> (ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng). C\u00e1c ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n g\u1ed3m c\u00f3 4 lo\u1ea1i theo Hi\u1ec7p h\u1ed9i \u0110\u00e1i th\u00e1i \u0111\u01b0\u1eddg Hoa K\u1ef3 – ADA:<\/p>\r\n\r\n\r\n\r\n

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  • Glucose huy\u1ebft t\u01b0\u01a1ng l\u00fac \u0111\u00f3i (fasting plasma glucose: FPG): <\/strong>\u2265 126 mg\/dL (hay 7 mmol\/L), \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0o th\u1eddi \u0111i\u1ec3m b\u1ec7nh nh\u00e2n nh\u1ecbn \u0111\u00f3i \u00edt nh\u1ea5t 8h, th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0o bu\u1ed5i s\u00e1ng sau m\u1ed9t gi\u1ea5c ng\u1ee7.<\/li>\r\n\r\n\r\n\r\n
  • Glucose huy\u1ebft t\u01b0\u01a1ng sau 2 gi\u1edd l\u00e0m nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose \u0111\u01b0\u1eddng u\u1ed1ng<\/strong> 75g (oral glucose tolerance test: OGTT) \u2265 200 mg\/dL (hay 11,1 mmol\/L): Nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo quy \u0111\u1ecbnh c\u1ee7a WHO. B\u1ec7nh nh\u00e2n nh\u1ecbn \u0103n t\u1eeb \u0111\u00eam tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p, d\u00f9ng m\u1ed9t l\u01b0\u1ee3ng glucose ngang v\u1edbi v\u1edbi 75g glucose, h\u00f2a tan trong 250-300 ml n\u01b0\u1edbc, u\u1ed1ng trong v\u00f2ng 5 ph\u00fat; \u0111\u1ed3ng th\u1eddi 3 ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0103n kh\u1ea9u ph\u1ea7n \u0111\u1ea3m b\u1ea3o kho\u1ea3ng 150-200 gam carbohydrat\/ ng\u00e0y.<\/li>\r\n\r\n\r\n\r\n
  • HbA1c \u2265 6,5% (48 mmol\/mol):<\/strong> N\u00ean \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a theo qu\u1ed1c t\u1ebf<\/li>\r\n\r\n\r\n\r\n
  • Ch\u1ec9 s\u1ed1 Glucose b\u1ea5t k\u00ec<\/strong>: \u1ede b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng kinh \u0111i\u1ec3n c\u1ee7a t\u0103ng glucose huy\u1ebft (ti\u1ec3u nhi\u1ec1u, \u0103n nhi\u1ec1u, u\u1ed1ng nhi\u1ec1u, s\u1ee5t c\u00e2n nhi\u1ec1u) ho\u1eb7c m\u1ee9c glucose huy\u1ebft t\u01b0\u01a1ng \u0111o b\u1ea5t k\u1ef3 \u2265 200 mg\/dL (hay 11,1 mmol\/L).<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n

    C\u00e1c x\u00e9t nghi\u1ec7m d\u1ef1a tr\u00ean ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng<\/a> \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o ph\u1ea3i th\u1ef1c hi\u1ec7n 2 l\u1ea7n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1ea5t. Kho\u1ea3ng c\u00e1ch gi\u1eefa hai l\u1ea7n x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 c\u00e1ch nhau kho\u1ea3ng 1 – 7 ng\u00e0y.<\/p>\r\n\r\n\r\n\r\n

    \"Ch\u1ec9\r\n
    Ch\u1ec9 s\u1ed1 glucose bao nhi\u00eau th\u00ec b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng?<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n

    T\u1ea1i Vi\u1ec7t Nam, ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t ch\u00ednh l\u00e0 s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ecbnh l\u01b0\u1ee3ng glucose huy\u1ebft t\u01b0\u01a1ng l\u00fac \u0111\u00f3i (FPG) \u2265 126 mg\/dL (hay 7 mmol\/L)<\/span> b\u1edfi s\u1ef1 hi\u1ec7u qu\u1ea3 v\u00e0 ti\u1ec7n l\u1ee3i c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. Tuy nhi\u00ean n\u1ebfu c\u00f3 nh\u1eefng ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a th\u00ec ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng th\u00f4ng qua \u0111\u1ecbnh l\u01b0\u1ee3ng HbA1c c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n

    Xem th\u00eam:<\/strong> Ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2<\/a><\/p>\r\n\r\n\r\n\r\n

    Ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng<\/h2>\r\n\r\n\r\n\r\n

    M\u1ed9t ng\u01b0\u1eddi c\u00f3 ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng hay ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft b\u00ecnh th\u01b0\u1eddng khi kh\u00f4ng th\u1ecfa c\u00e1c ti\u00eau chu\u1ea9n c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 ti\u1ec1n \u0111\u00e1i th\u00e0o \u0111\u01b0\u1eddng. Ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> (pre-diabetes) l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n glucose huy\u1ebft nh\u01b0ng ch\u01b0a th\u1ecfa c\u00e1c ti\u00eau chu\u1ea9n v\u1ec1 ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng m\u1eafc ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u1eabn c\u00f3 nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u l\u1edbn c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n

    TI\u1ec3u chu\u1ea9n ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u1ecfa m\u1ed9t trong s\u1ed1 c\u00e1c ch\u1ec9 s\u1ed1 ti\u1ec3u \u0111\u01b0\u1eddng sau:<\/p>\r\n\r\n\r\n\r\n

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    • R\u1ed1i lo\u1ea1n glucose huy\u1ebft \u0111\u00f3i (impaired fasting glucose: IFG): Glucose huy\u1ebft t\u01b0\u01a1ng nh\u1ecbn \u0111\u00f3i t\u1eeb 100 (5,6mmol\/L) \u0111\u1ebfn 125 mg\/dL (6,9 mmol\/L)<\/li>\r\n\r\n\r\n\r\n
    • R\u1ed1i lo\u1ea1n dung n\u1ea1p glucose (impaired glucose tolerance: IGT): Glucose huy\u1ebft t\u01b0\u01a1ng 2 gi\u1edd sau khi l\u00e0m nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng t\u1eeb 140 (7.8 mmol\/L) \u0111\u1ebfn 199 mg\/dL (11 mmol\/L)<\/li>\r\n\r\n\r\n\r\n
    • HbA1c t\u1eeb 5,7% (39 mmol\/mol) \u0111\u1ebfn 6,4% (47 mmol\/mol)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
      \"Ch\u1ec9\r\n
      Ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n

      Nh\u01b0 v\u1eady ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng s\u1ebd c\u00f3 ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng th\u1ecfa ti\u00eau chu\u1ea9n c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u1eadt s\u1ef1 v\u00e0 ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\r\n

       <\/p>\r\n

      M\u1eddi b\u1ea1n tham kh\u1ea3o s\u1ea3n ph\u1ea9m Combo M\u00e1y \u0111o \u0111\u01b0\u1eddng huy\u1ebft – Nipro Premier \u03b1<\/a><\/p>\r\n\r\n\r\n\r\n